reminiscence – Page 2 – Go Retire Psychiatrist

Big Mo Blues Show and The Elvis Connection

The Big Mo Blues Show was really interesting last night. I’m just going to highlight a number done by John Hiatt called “Riding with the King.” The lore about this that I picked up from the internet is that Hiatt originally wrote and sang the song for the 1983 album Riding with the King. It was a tribute to a king known as Elvis Presley. The short story is that the song was inspired by a weird dream that the album’s producer, Scott Matthews, had about flying with Elvis Presley.

Years later, in 2000, the song was covered in an album by Eric Clapton, and the other king, B.B. King. The album was also called Riding with the King. Some reviewers thought the product was too slick, although to be frank about it, Hiatt’s production didn’t chart in the U.S.

The first time I heard Hiatt, I think it was on the Big Mo Blues Show. He sang “Gone,” which was on the album Crossing Muddy Waters, produced in 2000, the same year Clapton and King made the album which had the cover of Hiatt’s original song “Riding with the King.” I liked “Gone” because it was funny. I’m partial to humor in just about any context.

That reminds me of the Elvis Presley connection here about “Riding with the King.” About 8 years ago Sena and I made peanut butter and banana sandwiches, which Presley made famous. I blogged about it but I can’t find that post anymore. We didn’t really like the sandwich, although I wonder if the guy who had the dream that inspired the song “Riding with the King” had a PB & Banana sandwich just before bedtime. I kept the pictures but the post is—Gone!

Shoveling Through Retirement Thoughts

I was just musing on Philip Rivers. You know about him. I blogged recently about his coming out of retirement to play quarterback for the Indianapolis Colts. I guess you already know this, but he retired again.

Unlike Philip Rivers, I’ve not even considered coming out of retirement since I left my position at The University of Iowa Health Care (UIHC) over 5 years ago. I never looked back.

But that doesn’t mean I never think about looking back. I look back a lot and that’s mostly because I’m an old guy. I was a consulting psychiatrist in the general hospital.

Anyway, occasionally I search my name on the web and laugh at what comes up. I never went to Baylor College of Medicine, much less graduated from there.

I did a few things when I was a doctor. Not all of them were about work, but most of them were.

Those who know me know that I always hated Maintenance of Certification (MOC). I checked the American Board of Psychiatry & Neurology website and my MOC contribution to continuing education is still there. It’s a clinical module on Delirium, which a lot of doctors and other health care practitioners see every day in the hospital. Dr. Emily Morse worked on it as well. She’s still working at UIHC.

I co-edited a book about consultation-liaison psychiatry with my former chair of the Psychiatry Dept, Dr. Robert G. Robinson, may he rest in peace. It’s “Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry.” You can buy it on Amazon—please.

I wrote a case report on catatonia caused by withdrawal from lorazepam (a benzodiazepine), and it’s still available. It was first published in Annals of Psychiatry.

But one of the things I’m proudest of doing was writing a short article for the University of Iowa Library for Open Access Week.

In it, I tell a short anecdote about my lofty (OK, a better word is “greedy”) thoughts about how much money I could make shoveling snow. I was just a kid and I never made it outside to shovel anybody’s walk because I was too busy calculating my income. I wrote that way back when I had another blog, The Practical Psychosomaticist. The photo of me shows my Leonard Tow Humanism in Medicine pin fixed to my lapel—another thing I’m proud of. By the way “Tow” rhymes with “Wow.”

Libraries have always been my one of my favorite places to hang out. Anyway, I’ve got more time to do things like hang out in general. I think Philip Rivers will adjust.

The Missing 29 Cribbage Board and a Little History

We’ve been searching around for our 29 Cribbage Board. It’s in the shape of 29 which is the highest score you can get in cribbage. The hand is typically shown with three 5’s and the nob Jack and the cut card is the other 5. This is usually a diamond 5, but the heart or the spade 5 is also shown on some boards. The odds of getting this hand are 1 in 216,580.

Sena didn’t find it after a thorough search top to bottom of our house, so it must have gotten lost in the move last year. One of the reasons why this suddenly became an issue of national importance is that I read another one of those long historic articles on the American Cribbage Congress (ACC) website—which never lists the bylines of the persons writing them.

It turns out that a guy named Edward M. Hirst in Canada who first designed and started making the 29 board by himself back in the early 1950s. Customers would wait months for them. They weren’t mass-produced until two years after he died. Crisloid, Inc. (based in Rhode Island) made them for a while and this name is familiar to me because I shopped for a giant cribbage board from them a few years ago. They had stopped making the 29 board long before then. Interestingly, they made one of those very complicated continuous 3 track cribbage boards with complicated scoring for things like “Legs” and other features that eventually were more of a hallmark with another famous cribbage board maker–Drueke Co. And then Drueke Co. started making the 29 boards.

Eventually manufacturing of the 29 boards moved to Taiwan because they could be made more cheaply there. Nowadays, America’s role in sales has moved to vendors, such as Hoyle, Bicycle, Walmart, etc. There’s a reddit thread which shows a picture of a 29 board which contains a short history of the board.

Anyway, by way of personal history, we started playing cribbage again in 2019 after a 20-year hiatus. I have a dim memory of us experimenting with several card games back then, including cribbage. And then we dropped card games for a long time. And about 5 or 6 years ago we got a 29 board, because it was interesting and cheap.

I made a YouTube video of the game. It got about 1,800 views. It had some of the features discussed in the ACC history, which we think is really interesting. The nob Jack and 5 cut card were diamonds. There was a 121 hole (which some boards don’t have, believe it or not!).

And there’s also a Cribbage Board Collector’s Society (CBCS). The interesting thing they point out is that no one has ever reported to them about finding a 29 board with the Jack and the 5 cut card in the club suit. I couldn’t find one on the web, even on Ebay.

We immediately shopped for another 29 board but the one we want is sold out. Until then, we can reminisce.

Re-introducing The Good Enough Psychiatrist, Dr. Jenna Cheng

Sena just found a blogger psychiatrist who wrote the blog “The Good Enough Psychiatrist,” and her former blog link is still on my blog site. Dr. Jenna Cheng has a new blog and podcast, and it’s called “Attached and Enlivened Psychiatry.” The link is on the menu.

The featured image for this post is the Kintsugi pottery picture, which I first learned about from her blog and later blathered about back in September this year some more, relating to my link between it and blues music. She actually hit the like button on it.

When you get a chance, by all means check out the podcast that Dr. Cheng and Dr. Patrick Kelly run. “It’s called Good Enough Shrink, which rings a bell. I listened to “Münchausen and Münchausen by Proxy: Harming Self and Others to Play the Sick Role.” They did a great job!

Special Mention on Dr. George Dawson’s Post Today

I just want to send a link to Dr. George Dawson’s post The Phenomenological Suicide Assessment – The Legacy of Dr. H. It’s a great Christmas gift to teachers and learners everywhere. Happy holidays to George and everyone else.

Thoughts on Comebacks

I watched the first half of the Colts vs 49ers game last night and I thought Philip Rivers didn’t look half bad for a 44-year-old guy who’s been out of the game for five years. Did you know he has 10 kids? OK, now that I’ve got that out of my system and that would be, what—the 44^th time you’ve heard that since he took the field?

So what the Colts lost? His big family was up in the stands going crazy, cheering him on.

I read an article this morning which had Steve Young saying he could make a comeback at his age—which is 64. I couldn’t believe it. The same story mentions that George Blanda played for the Oakland Raiders when he was 48 back in 1975.

It got me wondering whether I could make a comeback as a general hospital consulting psychiatrist. Could I gallop up 6-8 floors of University of Iowa Health Care? You bet your bottom dollar—I couldn’t.

It’s hard to retire. Every once in a while, I miss hiking up and down the hospital with my camp stool, deftly swinging it around and sitting with the patients and families, telling medical students and residents all kinds of lies (I mean “wise old adages and pearls of clinical wisdom”).

I get a kick out of just wondering what it would be like. I get a vision of myself with a big, golden glowing aura of greatness around my head—until I come to my senses. Hey, nobody’s going to pay me a quarter million dollars to run the consult service for the few months I’d be able to limp around the hospital, falling off my camp stool when my legs go numb or the chair breaks.

It’s not like I can just throw a football like it’s nothing after 5 years. I’d have to prove I still have enough clinical smarts to figure out how to introduce myself (Hi! I’m Philip Rivers and you need to go long!”).

The Maintenance of Certification Circus is still a thing and it’s worse. I’m not saying doctors don’t undertake the arduous task of essentially retraining to be what they once were—because that’s not good enough anymore.

Last night, the camera caught Phil more than once being just as hard on himself as he was with other members of the team who weren’t in the right spot at the right time. Most physicians are perfectionists and if you’ve been out of the game for a while and you try to squeeze back in, you could wind up mumbling to yourself, “They don’t make footballs like they used to!”

I didn’t stay up for the second half of football game. It wasn’t because of anything Philip did or didn’t do on the field.

I just can’t stay up that late nowadays.

Big Mo Blues Show Christmas Music Featuring Peter Green

Last night was the second time John Heim (aka Big Mo) introduced the song “Silent Night” by Peter Green and the Men in Blue using the title in German, “Stille Nacht.” He also played it last Friday night, saying “Stille Nacht, Heilige Nacht” in what sounded like perfect German. I immediately liked this version.

I might be remembering this wrong, but when I was a kid, I think I somehow got assigned to sing “Silent Night” when I went out caroling (in a horse-drawn sleigh, no less!) with the members of our church. It’s a good thing smartphones weren’t around to record that.

I remember last week trying to find it on the Big Mo Blues Show playlist but I couldn’t. Then I tried to find it by searching the title in German. I forgot or didn’t hear the name of the band. I gave up looking for it and I wondered why he said the title in German.

So, after I heard it again last night and looked for it on the playlist, I found it right away on the web.

I have never heard of Peter Green, so I looked him up and found a Wikipedia article about him. His original name was Peter Allen Greenbaum. I found out that Greenbaum is a German surname (originally Grünbaum which means greenery or green tree. As an aside, Heim is also a German name. It means “home.” For many people (just listen to his Shout-Outs list!) the Big Mo Blues Show is home.

Those are just observations I find interesting and maybe point to a clue why Big Mo pronounced the title of the song “Silent Night” in German.

Anyway, the Wikipedia article doesn’t say anything about Peter Green’s ancestry. He was born in 1946 in London and died in his sleep at the age of 73 on Canvey Island, Essex.

He was a gifted blues rock guitarist and singer-songwriter and was founder and original leader of the band Fleetwood Mac. He was a very influential figure in the British blues movement. Some thought he was greater than the other often-mentioned blues guitarist, Eric Clapton.

Peter got some coaching early in life from his older brother but was essentially self-taught by the age of 11. In the mid to late 1960’s people were calling him “The Green God” which was similar to what many were calling Eric Clapton (“God’).

Around 1969(70) Peter started to develop signs of mental illness and during the 1970s he also used LSD several times. Eventually he was diagnosed with schizophrenia. Like other people who develop psychiatric illness, it was probably difficult to settle the chicken/egg question of which came first. He attributed much of his mental health issues to his use of LSD. He was hospitalized and treated with electroconvulsive therapy (ECT) in the mid-1970s.

However, by the 1980s, he returned to the music scene. He was inducted into the Rock and Roll Hall of Fame in 1998. He was described as being more interested in expressing emotion in music rather than displaying dazzling technical skill. He influenced many musicians.

Merry Christmas!

Swearing as a Performance Improvement Method?

I read this article about swearing being a good thing to do to increase your workout performance or whatever. There’s a link to the study that a researcher says supports that conclusion. I mean this story is talking about really bad words being good for you. It reminds me of a time when I was a pre-teen kid and broke my wrist falling out of a barn loft. I don’t remember exactly how I got to the emergency room. We didn’t have a car so our next-door neighbor must have driven me with my crooked arm and my hysterical mom to the hospital.

My mom was in the emergency room with me. When I cut loose with a torrent of really bad words, nurses had to practically carry her out because she fainted. This was right after I asked the doctor if it was OK if I swore and he said “Go ahead,” injected anesthetic—and immediately started to manhandle my wrist. I don’t think I ever swore in front of my mom before that.

I don’t remember if the swearing helped me withstand the pain or not. I don’t think so.

There was my other trip to a hospital for chest surgery when I was in my early teens. I had a chest tube after the operation. My roommate had undergone some kind of abdominal surgery. We had a lot of stitches and were in a lot of pain, which was bearable if we didn’t move at all. It even hurt to breathe. But the other factor was the TV in our room. It was way across the room and there was some kind of comedy show on. It was really funny—which made us feel really terrible. We could barely move and even had to talk quietly, yet this funny show made us laugh, which expanded our chest and abdomen areas, stretching the sutures. It was excruciating.

Even swearing would have hurt, not to mention laughing out loud. We really couldn’t stand to laugh and it’s too bad I can’t describe the sound of two guys trying not to even chuckle. If you ever watched Loony Tunes cartoons and remember how Elmer Fudd sounded when he laughed—that was how we sounded because we were trying to suppress laughing. It was funny but pitiful. My roomie finally made this desperate slow motion move out of bed, crept to the TV and shut it off. I was so grateful. Neither one of us ever swore.

The other thing this swearing for power reminds me of is the movie Signs, which starred Mel Gibson as Graham Hess. It was about an alien invasion and in one scene, some people/aliens (they don’t yet know what) are running around the house and Graham’s brother Merril (Joaquin Phoenix) are getting set to chase them. Merril tells Graham to yell and curse, although because Graham is a former Episcopal priest, swearing is beyond him:

All right, listen, we both go outside, move around the house in opposite directions. We act crazy, insane with anger, make them crap in their pants, force them around till we meet up on the other side.
Graham Hess: Explain “act crazy”.
Merrill: You know, curse and stuff.
Graham Hess: You want me to curse?
Merrill: You don’t mean it. It’s just for show. What?
Graham Hess: Well, it won’t be convincing. It doesn’t sound natural when I curse.
Merrill: Just make noises, then.
Graham Hess: Explain “noises”.
Merrill: Are you gonna do this or what?
Graham Hess: No, I’m not.
Merrill: All right, you want them stealing something in the house next time?
[outside light comes on]
Merrill: On the count of three. One…
Graham Hess: All right.
Merrill: two… three!
Graham Hess: Ahh! I’m insane with anger!
Merrill: We’re gonna beat your ass bitch! We’re gonna tear your head off!
Graham Hess: I’m losing my mind! It’s time for an ass-whupping!
[Merrill and Graham meet each other]
Graham Hess: I cursed.
Merrill: I heard.

Anyway, I think we have to make a distinction between cursing about something or cursing at someone before we start claiming, like the author of the study says:

“Swearing is literally a calorie-neutral, drug-free, low-cost, readily available tool at our disposal for when we need a boost in performance.”—psychology researcher Richard Stephens of Keele University in the UK.

Pearl Harbor Day Today

Today is Pearl Harbor Day and it reminds me of the time we made a trip to Hawaii in 1997 and visited the USS Arizona Memorial. There was a guy named Norm in our tour group and he and his wife Lee (Leota) made friends with me and Sena. They were in their seventies at the time. Norm wept openly when we stood inside the memorial and viewed the names of those killed in the attack. I don’t think he served in WWII. He would have been only 16 years old at the time. I think he was just very affected by the loss of so many lives. Standing in the place where so many died can make us want to cry. You could call it normal—and it is sad. We exchanged Christmas cards with Norm and Lee for years afterward until they passed.

Svengoolie Movie List for December 2025 and a Quiz Question!

This is partly just an announcement of the Svengoolie show movie lineup for the month of December.

But more importantly, there’s a quiz question to see if you can name the movie the shrilling chicken’s question “What the heck is it, Edgar?” comes from in the featured image above.

There are no real prizes for coming up with the right answer. You’ll just have to use your imagination here. According to the picture below, if you get it right you can imagine getting the first place prize, which is a shrilling chicken.

You can imagine getting the 2nd place prize if you name something other than the right answer which is only partially correct (for example, naming something that has the name “Edgar” in it but is otherwise wrong). The 2nd place prize is a picture of a vintage calculator I used to have which could work for a very long time on a couple of AA batteries (over a decade!). I bought this old Sharp ELSI MATE EL-505 back around 1980 when I went to college at Iowa State University in Ames, Iowa. You can find them on eBay if you really want to do more than just imagine getting a prize. When we bought the new calculator, I think I threw the old one out, probably because it didn’t work even after replacing the batteries.

You can imagine getting the 3^rd place prize if you can’t make a guess at all. This is something that is still being sold by certain auto parts stores, like AutoZone ($5). It’s a wire spark plug gap gauge and adjustment tool. I used it a long time ago. I couldn’t find it in my toolbox but there’s a short video showing how to use it.

While I was out looking for the wire spark plug gauge tool, I found what I think was another type of tool called a feeler gauge. You can use it to measure spark plug gaps and other kinds of clearances. It’s got some rust on it so you could imagine cleaning it up a little but it’s not a prize level item.

Answer to the quiz question (don’t peek if you’re not done reading the post!): It’s from the movie Men in Black (1997). Beatrice asks her husband Edgar “What the heck is it, Edgar?” when he goes out to investigate a loud explosion caused by a spaceship crash landing in their yard.